Chiloquin Family Practice Inc PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD18099 Issued in OR

Legal business name

CHILOQUIN FAMILY PRACTICE INC PC

Practice address

2825 Ranch Rd
Chiloquin, OR 97624-5749

Phone

(541) 783-3412

Fax

(541) 783-3412

NPI assigned

May 13, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Lawrence Lee Cohen, M.D.

Title

Owner

Phone

(541) 783-3412

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Darcy R. Butcher, FNPC

  • Family Nurse Practitioner
  • Klamath Falls, OR
  • NPI 1083614630
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1242172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242172800000",
    "number": "1053545590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 331",
            "city": "CHILOQUIN",
            "state": "OR",
            "postal_code": "976240331",
            "telephone_number": "541-783-3412",
            "fax_number": "541-783-3412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2825 RANCH RD",
            "city": "CHILOQUIN",
            "state": "OR",
            "postal_code": "976245749",
            "telephone_number": "541-783-3412",
            "fax_number": "541-783-3412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILOQUIN FAMILY PRACTICE INC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-13",
        "last_updated": "2009-05-13",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-783-3412",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD18099",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "287928",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew R Backer, PHARM D
• Thomas H Barratt, DDS
• Best Behavior Services, LLC
• Paula J Brown, RN
• Chiloquin - Agency Lake Rural Fire Protection District
• Chiloquin Volunteer Ambulance Service, Inc
• Levi Steven Cortez
• Marcus W Cox, RPH
• Amanda Dal Soglio
• Susanne Lynn Duncan, NURSE PRACTITIONER

• Family Medicine Physician in Chiloquin, OR
• Providers in Chiloquin, OR by specialty
• Family Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.